State Of California - Department Of Developmental Services in Sacramento - Nursing Facility/intermediate Care Facility

State Of California - Department Of Developmental Services - NPI 1730130097

State Of California - Department Of Developmental Services is a Nursing Facility/intermediate Care Facility in Sacramento, California. State Of California - Department Of Developmental Services practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for State Of California - Department Of Developmental Services is 1730130097. The last update date is 2021-06-29.

State Of California - Department Of Developmental Services's current location address is 1215 O Street, Sacramento, California. You can contact this provider via phone number 9166543463 and fax number 9166534587. The mailing address for State Of California - Department Of Developmental Services is 1215 O Street, Sacramento, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of California - Department Of Developmental Services
Address 1215 O Street, Sacramento, California
Phone Number 9166543463
Fax Number 9166534587
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF DEPU
Authorized Official Name Castaneda A Carla
Telephone Number 9166542822

NPI Number Detail

NPI Number 1730130097
Provider Enumeration Date 2006-05-12
Last Updated Date 2021-06-29

Provider Mailing Address Detail

Address 1215 O Street
City Sacramento
State California (CA)
Post Code 95814
Phone Number 9166543463
Fax Number 9166534587

Provider's Primary Taxonomy Detail

Speciality Nursing Facility/intermediate Care Facility
Taxonomy 313M00000X
Licence No 170000774
Definition:
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha

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FAQs about State Of California - Department Of Developmental Services

What is the unique identifier code issued to State Of California - Department Of Developmental Services by the Centers for Medicare & Medicaid Services (CMS)?

The State Of California - Department Of Developmental Services has been assigned the NPI (National Provider Identifier) 1730130097. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of State Of California - Department Of Developmental Services?

The State Of California - Department Of Developmental Services is situated at 1215 O Street, in the city of Sacramento, state of CA, with the zip code 95814.

What is State Of California - Department Of Developmental Services's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for State Of California - Department Of Developmental Services is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy classification code for this specialized field is 313M00000X.

When was the State Of California - Department Of Developmental Services's 1730130097 issued?

The State Of California - Department Of Developmental Services's 1730130097 was issued on 2006-05-12.

When was the State Of California - Department Of Developmental Services's information last updated?

The State Of California - Department Of Developmental Services's information was last updated on 2021-06-29.

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